Does this really come as a surprise to anyone?
I think that's a high precent. Last med error I had was a pharmacy error where they sent the powder for IVPB and not a partial fill and the pyxis wouldn't let us get a bag out to mix ourself and pharmacy aruged with me on the phone that I had to write an order for the partial fill...finally go it through to them they had to mix it or let me get the bag to mix it as I can't hang a vial of powder.
I knowingly haven't given the wrong med for at least 10 years. I walked in a room (worked peds) and said Mrs Smith I have Susies medication the lady says ok so I'm giving the little girl the medication po in a syringe and I say Dr A will be in shortly and she says when will Dr B come in? Then I checked and this wasn't Smith it was Stone but she had answered yes...sometimes babies didn't have armbands on because they'd come off and we moved patients around to put like DX together and I went by room number. I told her doc and he said oh it might do her some good. It was antibiotic and the little girl became a frequent flier until she died when she was 3.